TEAR TROUGH REJUVENATION & FILLERS By Joshua Zuckerman, MD, FACS in New York City

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Frontal view of tear trough rejuvenation to fill in dark circles / restore a tired appearance. 1cc of Radiesse injected per eye. Images taken day of treatment.

Before and after comparison of one of Dr. Zuckerman’s Restylane-L tear trough rejuvenation patients in New York City. Patient treated with 1cc of Restylane-L under each eye. Images taken on the day of treatment.

Dr. Zuckerman can help you reduce dark circles, regardless of the age of the patient, with under eye dermal filler injections. Done correctly, it beautifully eases the transition from the lower eyelid into the cheek, eliminating shadow and the appearance of hollowness. Filler in this area is also long lasting: up to 1 year. For this sensitive area, Dr. Zuckerman uses Restylane-L, a Hyaluronic Acid filler with lidocaine, which is FDA-approved for treating the under eye area. It is also the lease hydrophilic (absorbs the least amount of water) of Hyaluronic Acid fillers, and therefore minimizes swelling. Dr. Zuckerman injects deep into the tissues, near the bone, and can inject up to 1cc+ of filler per eye. This treatment helps a patient appear rested and refreshed both when the face is at rest and while smiling or otherwise facially animating.



Key Aspects of Treatment

Restylane-L injectable dermal filler product and packaging. Source: Galderma. Please see the manufacturer’s Indications and Important Safety Information for further information.

Tear Trough Rejuvenation & Fillers Recommended Regimen

Most patients require one treatment per year to maintain a continual effect.

Tear Trough Rejuvenation & Fillers Longevity

Treatment is visible immediately, but takes approximately one week to ten days to set in. It lasts up to one year. Results will vary depending on how much product Dr. Zuckerman injects and how quickly the patient metabolizes Hyaluronic Acid.

Tear Trough Rejuvenation & Fillers Procedure Time

10 – 20 minutes per treatment

Tear Trough Rejuvenation & Fillers Pretreatment Guidelines

Ideally, Dr. Zuckerman recommends that patients avoid ibuprofen / aspirin two days before and after treatment, avoid excess alcohol one day before and after, and skip intensive physical activity the day of treatment if possible. Please inquire to Dr. Zuckerman if you think you may not be able to undergo treatment due to these instructions, but most patients are able to successfully do so even if not all these criteria are fulfilled.


Tear Trough Rejuvenation & Fillers Recovery (Downtime)

Tear trough rejuvenation is a relatively easy treatment that allows most patients to return to work immediately after a daytime appointment. There may be mild bruising or swelling, which in some cases can last up to a week. More often, these post-treatment effects resolve within a few days. Dr. Zuckerman is also able to minimize bruising using his techniques and also by icing the affected area post treatment. Makeup can be applied if needed after treatment, but Dr. Zuckerman does recommend avoiding it the day of treatment if possible.

Tear Trough Rejuvenation & Fillers Associated Risks

This treatment is overwhelmingly safe in the hands of an expert injector like Dr. Zuckerman but involves injections deep into the sensitive tissues around the eyes. As such, it is a more advanced injection technique, and Dr. Zuckerman recommends you visit a board-certified plastic surgeon for your treatment. Some risks, although rare in the hands of an experienced injector, are:

  • Swelling
  • Bruising
  • Lumps


Frequently Asked Questions About Tear Trough Rejuvenation & Fillers

Is blindless really a risk in this treatment of dark circles with under eye filler?

Technically speaking, yes it is a risk, but a very rare and remote one in general, and even less likely in the hands of an expert injector like Dr. Zuckerman, a board-certified plastic surgeon who is very familiar with the anatomy of the face. If you are at all worried, be sure to visit an expert for this treatment.

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Dr. Zuckerman speaks with a cosmetic surgery patient.

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ABOUT DR. ZUCKERMANYOUR VISITTESTIMONIALS

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row, recognizing him as one of the best plastic surgeons in New York.

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row.



Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.


Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.

Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.


For Mothers' Day, Dr. Zuckerman introduced two of his patients to the New York Post who were interviewed and said how much they enjoy their experience at Dr. Zuckerman's office.

A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office, undergoing cosmetic Botox and Juvederm treatments.


Dr. Zuckerman was interviewed on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.

Dr. Zuckerman opined on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.



Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.


Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.

Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.



Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.


About Us

Zuckerman Plastic Surgery Logo
Zuckerman Plastic Surgery is the cosmetic surgery practice of board-certified plastic surgeon Dr. Joshua D. Zuckerman, MD, FACS located in New York City. Dr. Zuckerman specializes in tummy tuck surgery, liposuction, buttock augmentation, and cosmetic breast surgery. Zuckerman Plastic Surgery also offers an array of non-surgical treatments including musculoparalytics such as Botox, lip augmentation, tear trough rejuvenation for dark eye circles, laser resurfacing, microneedling, medical grade skincare and more. Zuckerman Plastic Surgery is a d.b.a. name for Joshua D. Zuckerman, MD, FACS, P.C., a Professional Corporation registered in the state of New York (DOS ID #: 5192265)
800A Fifth Avenue Suite 101
New York, NY 10065
Phone: 212-231-9897
Specialty: Plastic Surgery
Joshua D. Zuckerman, MD, FACS, P.C.
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